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Title: PRAISE: providing a roadmap for automated infection surveillance in Europe
Author: van Mourik, Maaike S. M.
van Rooden, Stephanie M.
Abbas, Mohamed
Aspevall, Olov
Astagneau, Pascal
Bonten, Marc J.M.
Carrara, Elena
Gomila Grange, Aina
de Greeff, Sabine C.
Gubbels, Sophie
Harrison, Wendy
Humphreys, Hilary
Johansson, Anders
Koek, Mayke B.G.
Kristensen, Brian
Lepape, Alain
Lucet, Jean-Christophe
Mookerjee, Siddharth
Naucler, Pontus
Palacios-Baena, Zaira R.
Presterl, Elisabeth
Pujol Rojo, Miquel
Reilly, Jacqui
Roberts, Christopher
Tacconelli, Evelina
Teixeira, Daniel
Tängdén, Thomas
Valik, John Karlsson
Behnke, Michael
Gastmeier, Petra
Keywords: Vigilància electrònica
Electronic surveillance
Issue Date: 1-Jul-2021
Publisher: Elsevier BV
Abstract: Introduction: Healthcare-associated infections (HAI) are among the most common adverse events of medical care. Surveillance of HAI is a key component of successful infection prevention programmes. Conventional surveillance - manual chart review - is resource intensive and limited by concerns regarding interrater reliability. This has led to the development and use of automated surveillance (AS). Many AS systems are the product of in-house development efforts and heterogeneous in their design and methods. With this roadmap, the PRAISE network aims to provide guidance on how to move AS from the research setting to large-scale implementation, and how to ensure the delivery of surveillance data that are uniform and useful for improvement of quality of care. Methods: The PRAISE network brings together 30 experts from ten European countries. This roadmap is based on the outcome of two workshops, teleconference meetings and review by an independent panel of international experts. Results: This roadmap focuses on the surveillance of HAI within networks of healthcare facilities for the purpose of comparison, prevention and quality improvement initiatives. The roadmap does the following: discusses the selection of surveillance targets, different organizational and methodologic approaches and their advantages, disadvantages and risks; defines key performance requirements of AS systems and suggestions for their design; provides guidance on successful implementation and maintenance; and discusses areas of future research and training requirements for the infection prevention and related disciplines. The roadmap is supported by accompanying documents regarding the governance and information technology aspects of implementing AS. Conclusions: Large-scale implementation of AS requires guidance and coordination within and across surveillance networks. Transitions to large-scale AS entail redevelopment of surveillance methods and their interpretation, intensive dialogue with stakeholders and the investment of considerable resources. This roadmap can be used to guide future steps towards implementation, including designing solutions for AS and practical guidance checklists.
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It is part of: Clinical Microbiology and Infection, 2021, vol. 27, p. s3-s19
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Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

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